Evidence map›Paper›PMID 31646339›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2020

Warrior Wellness: A Randomized Controlled Pilot Trial of the Effects of Exercise on Physical Function and Clinical Health Risk Factors in Older Military Veterans With PTSD.

Katherine S Hall, Miriam C Morey, Jean C Beckham, Hayden B Bosworth, Richard Sloane, Carl F Pieper, Michelle M Pebole

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  11. Can Physical, Psychological, and Social Vulnerabilities Predict Ageism?International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Katherine S HallVA Durham Healthcare System, Geriatric Research, Education, and Clinical Center, North Carolina.
Miriam C MoreyVA Durham Healthcare System, Geriatric Research, Education, and Clinical Center, North Carolina.
Jean C BeckhamVA Durham Healthcare System, Mental Illness Research, Education, and Clinical Center, North Carolina.
Hayden B BosworthDepartment of Population Health Sciences, Duke University, Durham, North Carolina.
Richard SloaneVA Durham Healthcare System, Geriatric Research, Education, and Clinical Center, North Carolina.
Carl F PieperDepartment of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina.
Michelle M PeboleVA Durham Healthcare System, Geriatric Research, Education, and Clinical Center, North Carolina.
Duke University · USGeriatric Research Education and Clinical Center · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI CATHLEEN S COLON-EMERIC, Susan Nicole Hastings · 2006 to 2026
$24.6M
Exploring the Effects of Exercise Training on PTSD Symptoms and Physical Health in Older Veterans with PTSDI01RX003120 · VA · DURHAM VA MEDICAL CENTER · PI HALL, KATHERINE SHEPHERD · 2020 to 2025
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Exercise as an Adjuvant Therapy for Veterans with PTSDIK2RX001316 · VA · DURHAM VA MEDICAL CENTER · PI HALL, KATHERINE SHEPHERD · 2015 to 2018
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NIA NIH HHS P30 AG028716RRD VA I01 RX003120RRD VA IK2 RX001316
6 · The paper itself

Abstract

backgroundMilitary veterans living with post-traumatic stress disorder (PTSD) face significant physical and functional health disparities, which are often aggravated over time and in the context aging. Evidence has shown that physical activity can positively impact age-related health conditions, yet exercise trials in older adults with mental disorders are rare. Our study was a tailored and targeted pilot exercise intervention for older veterans with PTSD.

methodsFifty-four older veterans with PTSD (mean age = 67.4 years, 90.7% male, 85.2% non-white) were randomized to supervised exercise (n = 38) or wait-list usual care (n = 18) for 12 weeks. Physical activity (MET-min/wk) and aerobic endurance (assessed with the 6-minute walk test) were primary outcomes. Secondary outcomes were physical performance (strength, mobility, balance), cardiometabolic risk factors (eg, waist circumference), and health-related quality of life.

resultsAt 12 weeks, a large effect of the intervention on physical activity levels (Cohen's d = 1.37) was observed compared to wait-list usual care. Aerobic endurance improved by 69 m in the exercise group compared to 10 m in wait-list group, reflecting a moderate between-group effect (Cohen's d = 0.50). Between-group differences on 12-week changes in physical performance, cardiometabolic risk factors, and health-related quality of life ranged from small to large effects (Cohen's d = 0.28-1.48), favoring the exercise arm.

conclusionParticipation in supervised exercise improved aerobic endurance, physical performance, and health-related clinical factors in older veterans with PTSD; a medically complex population with multiple morbidity. Group exercise is a low-cost, low-stigma intervention, and implementation efforts among older veterans with PTSD warrants further consideration.

Indexed as

VeteransAgedExercise TherapyFemaleHumansMalePilot ProjectsQuality of LifeRisk FactorsStress Disorders, Post-TraumaticAerobic enduranceHealth disparitiesMental healthMetabolic syndromePost-traumatic stress

Identifiers

PMID31646339
PMCPMC7973256
OpenAlexW2982122522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.